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作 者:Sohil Pothiawala Savitha Bhagvan Andrew MacCormick
机构地区:[1]Emergency Medicine,Woodlands Health,Singapore 737628,Singapore [2]Trauma and Emergency Services,Auckland City Hospital,Auckland 1023,New Zealand [3]Department of General Surgery,Middlemore Hospital,Auckland 2025,New Zealand
出 处:《World Journal of Critical Care Medicine》2025年第1期14-19,共6页世界重症医学杂志(英文)
摘 要:The care of a patient involved in major trauma with exsanguinating haemorrhage is time-critical to achieve definitive haemorrhage control,and it requires coordinated multidisciplinary care.During initial resuscitation of a patient in the emergency department(ED),Code Crimson activation facilitates rapid decisionmaking by multi-disciplinary specialists for definitive haemorrhage control in operating theatre(OT)and/or interventional radiology(IR)suite.Once this decision has been made,there may still be various factors that lead to delay in transporting the patient from ED to OT/IR.Red Blanket protocol identifies and addresses these factors and processes which cause delay,and aims to facilitate rapid and safe transport of the haemodynamically unstable patient from ED to OT,while minimizing delay in resuscitation during the transfer.The two processes,Code Crimson and Red Blanket,complement each other.It would be ideal to merge the two processes into a single protocol rather than having two separate workflows.Introducing these quality improvement strategies and coor-dinated processes within the trauma framework of the hospitals/healthcare systems will help in further improving the multi-disciplinary care for the complex trauma patients requiring rapid and definitive haemorrhage control.
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